Dibernardo, Mark
Dibernardo, Mark is an individual health care provider with primary practice located at 636 New Loudon Rd , Latham NY 12110-4002. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Dibernardo, Mark can be contacted via phone (518) 783-5381.Contact Information
Primary practice address
636 New Loudon Rd
Latham NY 12110-4002
Phone: (518) 783-5381
Fax: (518) 783-0125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1306062203 |
|---|---|
| LBN Legal business name | Dibernardo, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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